| NPI | 1942486857 |
|---|---|
| Doing Business As | EASTSIDE SPINE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RYAN SEAN COOGAN President 425-821-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034000) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2009-01-27 |